Midland Memorial Hospital (MMH) is a 464-bed facility located in rural west Texas with a 48-bed critical care unit. Like many other organizations, sustaining a healthy work environment for our nursing staff is important, as we provide excellent care and services in a patient- and family-centered care delivery model.

This column focuses on 3 primary structures that must exist to establish a healthy work environment, including leadership, design, and staffing. Each of the structures for a healthy work environment has been developed following a review of research and evidence-based practices showing improvement in outcomes.

Leadership is extremely important. Not only is leadership important to manage day-to-day operations, but it also is important to continually inspire people and constantly adjust to the changing environment. At MMH, we have incorporated a leadership structure that includes a divisional director, clinical managers, a dedicated educator, and a shared governance structure to address a healthy...

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